Anatomic basis of the middle temporal artery periosteal rotational flap in otologic surgery

Talmage, Garrick; Sunde, Jumin; Walker, David; Atlas, Marcus D.; Gluth, Michael B.

doi:10.1002/lary.25635

Cited by 9 publications

(5 citation statements)

References 14 publications

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“…This procedure is known to have the lowest risk of intravascular injection because there are few major blood vessels in this plane (Kim et al, 2016). Deep injections above the periosteal layer allow clinicians to avoid three anatomical structures: the superficial temporal artery running within the STF, the middle temporal vein traveling along the intermediate fat pad, and the middle temporal artery that branches to provide blood supply to the deep surface of the posterior third of the temporalis muscle (Jung et al, 2014; Talmage et al, 2015). Based on this anatomical knowledge, the supraperiosteal layer has also been suggested as a safe plane for injection.…”

Section: Discussionmentioning

confidence: 99%

The Deep Temporal Arteries: Anatomical Study with Application to Augmentations Procedures of the Temple

et al. 2022

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The aim of this study was to determine the anatomical features of the deep temporal arteries (DTAs) and thereby provide clinical information for the temple augmentation procedure. Forty‐two adult hemifaces from 15 Korean and 6 Thai cadavers (12 males, 9 females; mean age at death, 79.6 years) with no history of trauma or surgical procedure on the temple area were used for anatomical study. A detailed dissection was performed to identify the locations of the anterior and posterior deep temporal arteries (ADTA and PDTA) with reference to the vertical plane passing through the zygomatic tubercle. Fifty‐eight healthy Korean participants (31 males and 27 females; mean age, 24.7 years) were included in the ultrasonographic study. The distance from the bone to the DTAs was measured at the level of the zygomatic tubercle (HZt) and the eyebrow (HEb). The DTAs were not found within 7.2–12.6 mm posterior to the zygomatic tubercle; instead, the locations varied widely at the HEb. The distances between the bone and the ADTA were 1.7 ± 1.2 mm (mean ± SD) and 1.3 ± 0.8 mm, and those between the bone and the PDTA were 2.1 ± 1.2 mm and 2.0 ± 1.4 mm at HZt and HEb, respectively. Our findings indicate that at HZt, the area 1 cm posterior to the zygomatic tubercle may be a safe area for deep temple augmentation procedures. However, because the distribution patterns of the DTAs at HEb and depth of the DTAs are variable, additional care is required to minimize the risks of the procedure.

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Section: Discussionmentioning

confidence: 99%

The Deep Temporal Arteries: Anatomical Study with Application to Augmentations Procedures of the Temple

et al. 2022

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“…A commonly used flap is the middle temporal artery flap, which is a vascularised temporal periosteum with variable temporalis muscle. Its advantages are its abundance of tissue, ease of harvest, versatility and resistance to atrophy 17 . Another popular flap is the temporoparietal fascia flap, based on superficial temporal artery.…”

Section: Materials Used To Obliterate the Mastoid Cavitymentioning

confidence: 99%

“…Its advantages are its abundance of tissue, ease of harvest, versatility and resistance to atrophy. 17 Another popular flap is the temporoparietal fascia flap, based on superficial temporal artery. It is thin and pliable with a good blood supply and is able to be placed over angled or rounded defects.…”

Section: Autologous Materialsmentioning

confidence: 99%

Materials used for mastoid obliteration and its complications: a systematic review

Choong

Kwok

Shen

et al. 2022

ANZ Journal of Surgery

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Objective: The objectives of this review are to identify the types of materials with their associated complications and respective considerations when used to obliterate the mastoid cavity. Methods: A systematic search was performed across PubMed, Embase, Medline and Cochrane databases from January 2009 to January 2020 for randomized controlled trials and observational studies of patients that underwent mastoid obliteration. Studies that fulfilled the inclusion criteria were screened and scored according to the MINORS and relevance scores to determine final inclusion. Types of complications were grouped into minor and major complications based on the Clavien-Dindo classification. Results: Two thousand five hundred and seventy-eight ears were evaluated. There were a total of 165 (7.9%) minor and 142 (6.8%) major complications in the autologous group. Overall complication rate is 14.8%. The major complications were largely recurrent and residual disease requiring revision surgery. There were 10 (18.5%) minor complications and three (5.6%) major complications in the allogenic group. The cumulative complications risk is 24%. For the synthetic group, there were 39 (8.0%) minor and 34 (7.6%) major complications. The cumulative complication rate is 16.6%. Conclusion: Current evidence on materials for mastoid obliteration has been evolving. Each material has its strengths and limitations. The trend over the last decade favours the use of autologous materials. The principle of using a material remains being cautious of not reimplanting skin that can lead to the development of a cholesteatoma. The choice of materials is dependent on patient factors as well as the surgeons' preference and experience. 7 (31.8) 1 (4.5) † Park study is tabulated in the autologous and synthetic group as well as it looked at different group of materials. ‡ No specific details provided..

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“…The flap can comprise of the entire temporalis muscle or just a segment, and as an alternative, the temporoparietal fascia can be elevated as an independent flap. Other important variants have been described including the middle temporal artery flap for otologic surgery 24 as well as split flap technique allowing for coverage across midline. 25 This flap allows up to 360-degree arc of rotation if the muscle is separated from the zygoma or the coronoid.…”

Section: Temporalis Flapmentioning

confidence: 99%

Regional Salvage Flap Options in Head and Neck Reconstruction

et al. 2020

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Microvascular free tissue transfer is the standard in the complex head and neck reconstruction with success rates greater than 95%. Free tissue transfer allows for more versatility in reconstructing complex defects with better tissue match. Failures, however, do occur and subsequent free tissue transfer might not be an option due to either the patients' health or in a vessel depleted neck. In these challenging salvage scenarios, the head and neck reconstructive surgeon must turn to regional flaps for reconstruction. Here, we review multiple regional flap options for salvage head and neck reconstruction.

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Anatomic basis of the middle temporal artery periosteal rotational flap in otologic surgery

Abstract: NA. Laryngoscope, 126:1426-1432, 2016.

Cited by 9 publications

References 14 publications

The Deep Temporal Arteries: Anatomical Study with Application to Augmentations Procedures of the Temple

The Deep Temporal Arteries: Anatomical Study with Application to Augmentations Procedures of the Temple

Materials used for mastoid obliteration and its complications: a systematic review

Regional Salvage Flap Options in Head and Neck Reconstruction

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